Paul Stephen Costanzo in Paw Paw - Medical
Paul Stephen Costanzo - NPI 1104845239
Paul Stephen Costanzo is a Medical in Paw Paw, Michigan. Paul Stephen Costanzo practices all healthcare services and medical treatments related to Medical. The NPI Number for Paul Stephen Costanzo is 1104845239. The last update date is 2010-09-27.
Paul Stephen Costanzo's current location address is 404 Hazen St, Paw Paw, Michigan. You can contact this provider via phone number 2696571595 and fax number 2696571534. The mailing address for Paul Stephen Costanzo is 404 Hazen St, Paw Paw, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Stephen Costanzo |
|---|---|
| Address | 404 Hazen St, Paw Paw, Michigan |
| Phone Number | 2696571595 |
| Fax Number | 2696571534 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104845239 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2010-09-27 |
Provider Mailing Address Detail
| Address | 404 Hazen St |
|---|---|
| City | Paw Paw |
| State | Michigan (MI) |
| Post Code | 490791040 |
| Phone Number | 2696571595 |
| Fax Number | 2696571534 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601003700 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0H060020 | MI | BCBSM |
Post Comment/ Review Below
What is the Paul Stephen Costanzo's 1104845239?
The Paul Stephen Costanzo's NPI (National Provider Identifier) Number is 1104845239. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul Stephen Costanzo located?
The Paul Stephen Costanzo is located at 404 Hazen St, Paw Paw, MI 490791040.
What is Paul Stephen Costanzo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Stephen Costanzo's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104845239 to Paul Stephen Costanzo?
The Paul Stephen Costanzo received its 1104845239 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information pertaining to Paul Stephen Costanzo most recently updated or revised?
The details related to Paul Stephen Costanzo, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-27.